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Full Name
Lalita Raju Koli

Gender
Female Select Gender Male Female Other

Mobile Number
9930341725

Email Address

Date Of Birth
1994-01-01

Marital Status
Married Select Marital Status Married Single Divorced Widowed Separated

State
Maharashtra Select State

District
Raigad

Taluka
Panvel

PIN Code
410210

Religion
Hindu Select Religion Hindu Muslim Christian Jain Buddhist Parsi Others

Caste Category
Other backward class (OBC) Select Caste Category General Other backward class (OBC) Scheduled Caste (SC) Scheduled Tribe (ST) Nomadic Tribes (NT) Others

Caste Type
Agri

Identify Proof
Aadhar Card Select Identify Proof Aadhar Card PAN Card Voters Card Other

Identity Number
9365 7314 5817

Business Name
Tailoring/ Mess

Partner
Collective Good Foundation 1 Revolve

Personal Address
House No. 801 B/2, Kopra Village, Kharghar House No. 801 B/2, Kopra Village, Kharghar

Business Address
House No. 801 B/2, Kopra Village, Kharghar House No. 801 B/2, Kopra Village, Kharghar

Select Home Type
Own Select Home Type Own Rented Others

Select Land Ownership
No Select Land Ownership Own Leased Others

Total Number of family
5 Select Number Of Family

Number of Working People
2 Select Number Of Working People 1 2 3 4 5 6 7 8 9 10+

Monthly household income
25000

Women Monthly Income
6000

Seasonable Income
No Select Seasonable Income Yes No

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Type Of Account
Saving Select Type Of Account Current Saving

Bank Account Number
019210110002574

Bank Name
Bank Of India

IFSC Code
BKID0000192